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ICD-10 Guide
ICD-10 CodesA25

A25

Rat-bite fever (Streptobacillus moniliformis infection)

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 A25 is a billable code used to indicate a diagnosis of rat-bite fever (streptobacillus moniliformis infection).

Key Diagnostic Point:

Rat-bite fever is a zoonotic infection caused by the bacterium Streptobacillus moniliformis, which is primarily transmitted to humans through bites or scratches from infected rats or through contact with their urine or feces. The disease can also be contracted through the ingestion of contaminated food or water. Symptoms typically appear 3 to 10 days after exposure and may include fever, chills, headache, muscle pain, and rash. In severe cases, complications such as endocarditis or septic arthritis can occur. Diagnosis is often made based on clinical presentation and history of exposure, and laboratory confirmation can be achieved through blood cultures or serological tests. Prompt treatment with antibiotics, such as penicillin or doxycycline, is essential to prevent serious complications. Public health measures focus on rodent control and educating communities about the risks associated with rodent exposure.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of transmission routes (bite, scratch, ingestion)
  • Potential for misdiagnosis with other febrile illnesses
  • Need for specific laboratory confirmation
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of exposure history
  • Failure to specify the type of transmission
  • Misclassification of symptoms
  • Lack of laboratory confirmation in records

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed patient history including exposure to rodents, symptom onset, and laboratory results.

Common Clinical Scenarios

Patients presenting with fever and a history of rodent exposure.

Billing Considerations

Ensure all relevant symptoms and exposure details are documented to support the diagnosis.

Primary Care

Documentation Requirements

Comprehensive patient history and physical examination findings.

Common Clinical Scenarios

Patients with unexplained febrile illness and potential exposure to rats.

Billing Considerations

Consider differential diagnoses and document any relevant travel history.

Coding Guidelines

Inclusion Criteria

Use A25 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the diagnosis, including any relevant exposure history
  • Include any laboratory confirmation in the coding process

Exclusion Criteria

Do NOT use A25 When
No specific exclusions found.

Related Codes

Child Codes

3 codes
A25.0
Rat bite fever, spirillary
A25.1
Rat-bite fever (Streptobacillus moniliformis infection)
A25.9
Rat-bite fever, unspecified

Related CPT Codes

87040CPT Code

Culture, bacterial, any source

Clinical Scenario

Used when blood cultures are taken to confirm Streptobacillus moniliformis infection.

Documentation Requirements

Document the reason for culture and any relevant clinical findings.

Specialty Considerations

Infectious disease specialists should ensure cultures are properly labeled and handled.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of rat-bite fever, improving the accuracy of epidemiological data and enhancing public health responses to outbreaks.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of rat-bite fever, improving the accuracy of epidemiological data and enhancing public health responses to outbreaks.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of rat-bite fever, improving the accuracy of epidemiological data and enhancing public health responses to outbreaks.

Resources

Clinical References

  • •
    CDC - Rat-Bite Fever

Coding & Billing References

  • •
    CDC - Rat-Bite Fever

Frequently Asked Questions

What are the common symptoms of rat-bite fever?

Common symptoms include fever, chills, headache, muscle pain, and rash, typically appearing 3 to 10 days after exposure.

How is rat-bite fever diagnosed?

Diagnosis is based on clinical presentation, history of exposure to rodents, and laboratory confirmation through blood cultures or serological tests.